Organization
BOSC MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FRUTOS PMHNP (OWNER)
(786) 643-3835
Entity
Organization
Contact information
Practice address
15233 NW 87TH CT, MIAMI LAKES, FL 33018-1359
(786) 643-3835
(305) 470-7457
Mailing address
6854 TRELLIS VINE LOOP, WINDERMERE, FL 34786-0266
(786) 643-3835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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